Mkt Manager Revenue Cycle Coding-CDI Opt OPCodSS-CentNWSo
About The Position
As our Region Manager, Revenue Cycle Coding-CDI, you will drive strategic leadership and operational excellence across our medical coding and Clinical Documentation Improvement (CDI) teams. This pivotal role focuses on revenue cycle optimization, ensuring coding accuracy, and maintaining regulatory compliance throughout CommonSpirit Health (CSH). You'll be instrumental in achieving enterprise Key Performance Indicators (KPIs), enhancing financial integrity, and fostering a culture of high performance within our health information management (HIM) division. Every day you will provide direct oversight and unwavering support to our coding and CDI professionals, setting clear performance expectations and fostering accountability. You will develop and implement innovative strategic plans designed to meet and exceed CSH enterprise KPIs, directly impacting our reimbursement accuracy and data quality. A significant part of your routine will involve sophisticated data analysis, generating comprehensive KPI performance reports and dashboards for presentation to executive leadership, providing actionable insights into our revenue cycle efficiency. Moreover, you will serve as a crucial liaison, building collaborative relationships with physicians, clinical quality teams, and patient financial services to ensure the utmost accuracy and integrity of inpatient medical records. To be successful in this role, you will possess a proven track record in healthcare leadership, specifically within revenue cycle management, medical coding, and CDI program oversight. Strong analytical capabilities, evidenced by experience in data interpretation and performance reporting, are essential for driving informed decision-making. You must demonstrate exceptional communication and interpersonal skills to effectively collaborate with diverse stakeholders, from frontline coders to executive leadership. A deep understanding of coding guidelines, DRG methodologies, CDI best practices, and healthcare compliance is critical for safeguarding our financial performance and maintaining our commitment to quality patient care.
Requirements
- Associate's degree in Nursing or HIM required.
- Must possess RHIA certification.
- Must obtain CDIP within 90 days of hire.
- Must possess CCS certification.
- 5+ years of recent management experience overseeing hospital-based coding and CDI teams, preferably within a large multi-facility organization.
- Proven experience in managing coding/CDI in a Level I/II trauma center or teaching hospital, involving complex conditions and procedures (e.g., cardiovascular, neurosurgery, orthopedics, obstetrics/NICU).
- Proficient with various leading encoder systems (e.g., Optum eCAC, Solventum) and EMR platforms (e.g., Epic, Cerner, Meditech).
- Demonstrated ability to manage and optimize both coding and CDI functions for compliance and performance.
- Strong understanding of how coding and CDI contribute to revenue cycle integrity and KPIs.
- Strong analytical capabilities, evidenced by experience in data interpretation and performance reporting.
- Exceptional communication and interpersonal skills to effectively collaborate with diverse stakeholders.
- Deep understanding of coding guidelines, DRG methodologies, CDI best practices, and healthcare compliance.
Nice To Haves
- Bachelor’s degree in HIM
- Bachelor’s degree in Nursing
Responsibilities
- Provide direct oversight and support to coding and CDI professionals, setting clear performance expectations and fostering accountability.
- Develop and implement strategic plans to meet and exceed CSH enterprise KPIs, impacting reimbursement accuracy and data quality.
- Conduct sophisticated data analysis, generating KPI performance reports and dashboards for executive leadership.
- Serve as a liaison, building collaborative relationships with physicians, clinical quality teams, and patient financial services.
- Ensure accuracy and integrity of inpatient medical records.
- Manage coding and CDI practices and regulatory requirements.
- Adhere to the ethical standards of coding as established by AAPC, AHIMA and/or ACDIS.
- Identify and determine resolution of complex issues.
- Assist CSH director in strategic planning.
- Identify and interpret strategic and operational training/development needs.
- Create Coding and CDI steering committee presentations.
- Lead coding/CDI department meetings and ensure a collaborative environment.
- Communicate effectively, stay organized, and demonstrate effective leadership skills.
- Deliver presentations to large groups.
- Collaborate with physicians, clinical quality, Coding/CDI Quality auditors and safety net vendors to discuss results, education and develop action plans for sustained improvement.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
